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J Reconstr Microsurg 1985; 1(4): 299-303
DOI: 10.1055/s-2007-1007089
ORIGINAL ARTICLE

© 1985 by Thieme Medical Publishers, Inc.

Reconstruction of the Thumb by a Free Pedal Neurovascular Flap and Composite Phalanx-Joint-Tendon Homograft: A Preliminary Report

Shuo-Lin Huang, Ming-Zun Hou, Cai-Lou Yan
  • Department of Plastic Surgery, The Shanghai First People's Hospital, Shanghai, People's Republic of China
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Publication History

Accepted for publication 1984

Publication Date:
08 March 2008 (online)

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ABSTRACT

A one-stage procedure for reconstructing the thumb was used in 10 patients, using previously frozen bone-joint-tendon composite allograft and a neurovascular free skin flap from the foot. Levels of injury ranged from the greater multangular bone to the middle of the first phalanx. Postoperative bony absorption and joint degeneration were minimized, and no cases of tissue rejection were encountered. Further advantages of the procedure are that subsequent nerve regeneration and cutaneous sensibility are improved, and that there are better functional and aesthetic results, compared to other techniques. Using this procedure, donor site dysfunction is also minimal.